TN 1 (08-23)
RS 02807.020 Securing the Preliminary Payment Request
Any proper applicant (see GN 00204.003) or their authorized representative may request preliminary payments. A signed Form
SSA-1877 (Request for Expedited Payment) will be secured (see Exhibit 1, RS 02805.099). Annotate on top of the Form SSA-1877 “Preliminary Payment-Section 205(q)(3).” Obtain a Form SSA-795 (Statement of Claimant or Other Person) from the claimant stating
they understand that:
-
A.
the minimum evidence requirements must be met to receive preliminary payments,
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B.
preliminary payments will cease after three checks have been issued if the evidence
required for a final determination has not been received, and
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C.
any erroneous payments made to the individual resulting from the preliminary payment
request must be refunded.
Receipt of the Form SSA-1877 will be immediately acknowledged in writing by the office
receiving the request (Part III of the Form SSA-1877 should be used for this purpose).
Controls will be established in accordance with RS 02805.020.